Provider First Line Business Practice Location Address:
UNIVERSITY OF GEORGIA
Provider Second Line Business Practice Location Address:
RC WILSON PHARMACY BLDG
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30602-2354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-542-5111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2007